胆道镜联合钬激光治疗术后难取性胆总管结石

J4 ›› 2015, Vol. 14 ›› Issue (2): 27-28.

胆道镜联合钬激光治疗术后难取性胆总管结石

大理学院大理教学医院，云南大理671000

收稿日期:2014-09-25 出版日期:2015-02-15 发布日期:2015-02-15
作者简介:肖瑾，主治医师，主要从事普通外科研究.

Holmium Laser Combined with Choledochoscopy for the Treatment of Refractory Bile Duct Stones

Teaching Hospital of Dali University, Dali, Yunnan 671000, China

Received:2014-09-25 Online:2015-02-15 Published:2015-02-15

摘要/Abstract

摘要：

目的：探讨胆道镜联合钬激光治疗术后难取性胆总管结石的疗效。方法：对术后难取性胆总管结石14例，在术后3个
月及以上，采用胆道镜经T管窦道明确结石，并使用钬激光碎石，使用网囊和注水冲洗清除结石。结果：14例均取石成功，术后
无胆道壁损伤及穿孔、出血。结论：使用胆道镜联合钬激光治疗难取性胆总管结石，具有经济、损伤小、恢复快等优点，为难取
性胆总管结石提供一种新的治疗手段。

关键词: 胆道镜, 钬激光, 难取性胆总管结石

Abstract:

Objective: To discuss curative effect of holmium laser combined with choledochoscopy for the treatment of refractory bile
duct stones. Methods: 14 patients with refractory bile duct stones, 3 months or more after surgery, were treated, firstly using
choledochoscopy to locate stones through T-tube sinus tract, then breaking up stones with holmium laser lithotrity, and irrigating and removing with saline solution and basket extraction. Results: Stones were removed successfully in all 14 cases without injury of the bile duct wall, bleeding or perforation after the surgery. Conclusion: Holmium laser combined with choledochoscopy for the treatment of refractory bile duct stones was an economical method with slight injury and rapid recovery, and provided a new treatment for refractory bile duct stones.

Key words: choledochoscopy, holmium laser, refractory bile duct stones

中图分类号:

R657.4+2

肖瑾，赵利荣，汤博华，李宏发. 胆道镜联合钬激光治疗术后难取性胆总管结石[J]. J4, 2015, 14(2): 27-28.

Xiao Jin, Zhao Lirong, Tang Bohua, Li Hongfa. Holmium Laser Combined with Choledochoscopy for the Treatment of Refractory Bile Duct Stones[J]. J4, 2015, 14(2): 27-28.